Table 4 Patterns of health care engagement associated with subsequent cardiovascular and diabetes-specific hospitalization within 1Â year of discharge from an index hospitalization among patients with diabetes
| Â | Cardiovascular-specific | Diabetes-specific | ||
|---|---|---|---|---|
Unadjusted model | Adjusted model* | Unadjusted model | Adjusted model†| |
HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | |
# of emergency department visits in the 1-year | Â | Â | Â | Â |
Period prior to the index hospitalization | Â | Â | Â | Â |
  0 | Reference | Reference | Reference | Reference |
  Per visit | 1.05 (1.03–1.06) | 1.03 (1.01–1.05) | 1.05 (1.03–1.07) | 1.03 (1.01–1.05) |
# of primary care physician visits in the 1-year | Â | Â | Â | Â |
Period prior to the index hospitalization | Â | Â | Â | Â |
  0 | 1.11 (0.73–1.68) | 0.95 (0.63–1.44) | 1.71 (1.16–2.52) | 1.08 (0.73–1.60) |
  1-4 | Reference | Reference | Reference | Reference |
  5-9 | 1.05 (0.86–1.27) | 0.97 (0.80–1.18) | 0.54 (0.42–0.69) | 0.78 (0.61–1.02) |
  10+ | 1.54 (1.29–1.85) | 1.10 (0.91–1.33) | 0.63 (0.50–0.81) | 0.96 (0.74–1.26) |
Discharge Disposition of index hospitalization | Â | Â | Â | Â |
  Discharged Home | Reference | Reference | Reference | Reference |
  Transfer to Palliative Care | -- | -- | 1.11 (0.16–7.88) | 1.24 (0.17–9.00) |
  Transfer to Long-term Care | 2.14 (1.62–2.82) | 0.78 (0.58–1.05) | 0.49 (0.24–1.05) | 0.63 (0.29–1.37) |
  Discharged Home with Support Services | 2.34 (2.00–2.73) | 1.26 (1.07–1.50) | 1.14 (0.86–1.51) | 1.32 (0.98–1.81) |
  Left Against Medical Advice | 1.38 (0.74–2.58) | 2.11 (1.13–3.97) | 5.54 (3.60–8.54) | 2.86 (1.82–4.49) |